Job Description

Job Description

FlexStaff is seeking an experienced Compliance Auditor with experience in physician medical billing and coding for one of our clients, a medical administration practice, located in Chappaqua, NY.

Qualifications:
• Must possess a Professional Certification such as Certified Professional Coder or equivalent. 
• Proven experience in medical billing and coding
• Experience with auditing and monitoring clinical records and documentation 

 

In this role you will be reviewing and monitoring medical documentation to ensure compliance with all applicable state and federal laws, applicable regulatory guidance, internal and external polices and best practices. 

Schedule:
• Hours:
o Monday-Thursday: 8:00 AM - 5:00 PM
o Friday: 8:00 AM - 4:00 PM
• Lunch: 1-hour paid lunch
• Workdays: In-office 3 days a week; work from home 2 days a week.

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• Responsibilities include, but not limited to:
  • Conduct anesthesia chart reviews under the Compliance Officer’s guidance, focusing on completeness, quality, and billing accuracy, with an emphasis on correct coding. Communicate results to anesthesia practitioners and collaborate with internal departments on any relevant issues.
  • Perform periodic reviews of the Coding department staff to identify billing and coding gaps, such as Time, Place of Service, Modifiers, CPT, and Diagnosis coding, addressing concerns and providing consultation as needed.
  • Execute periodic probe audits to detect coding discrepancies that may lead to over- or under-billing. Document findings and educational efforts, providing feedback to stakeholders.
  • Coordinate with external auditors or consultants for independent billing and coding audits or to clarify ambiguous items.
  • Assist the Compliance Officer in addressing concerns from AMS staff via confidential channels.
  • Help resolve overlapping time issues in billing software by researching documentation and seeking clarification from providers.
  • Support the Compliance Officer with special requests, including Case Logs, guidance to the Clerical department, and requests from NSLIJ anesthesia service personnel.
  • Stay updated on industry trends and changes to assess their relevance to the organization.
  • Serve as a backup to the Compliance Officer in their absence, along with other assigned duties.
  
   
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If you meet the qualifications and are interested in this opportunity, we encourage you to apply!

 

*Additional Salary Details
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g. location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget, and internal equity).

 

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